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1 <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />1313 Sherman 51., Room 215 <br />Denver, CO 80203 <br />Phone: 1303) 866-3567 <br />FAX: (3031832-8106 <br />APPLICATION FORM <br />RENEWAL OF A VALID, EXISTING PERMIT <br />TO CONDUCT MINING IN COLORADO <br />pF' ~O~ <br />~b~ <br />~ /B]6 ~ <br />Roy Romer <br />Governor <br />Michael B. Long <br />Division Dirccror <br />This form is an application for successive renewal of a valid, existing permit to conduct surface <br />or underground mining and reclamation activities or other surface coal mining and reclamation <br />operations in Colorado pursuant to C.R.S. 34-33-101, ei seq. This application form is designed <br />to revise and update the application form currently included in your permit application. The <br />right of successive renewal applies only to lands and activity which were permitted during the <br />previous term. Extensions of the permit area and significant new activity within the permit area <br />are subject to the review procedures applicable to new permit applications, in accordance with <br />Rule 2.08.5(1)(cl and 2.08.4. Such changes will be handled by the Division as permit <br />revisions, and will be processed simultaneously with the application for renewal. Other <br />changes to the permit will be processed as technical revisions or minor revision in accordance <br />with Rule 2.08.4. <br />For a renewal application to be deemed complete by the Division pursuant to C.R.S. <br />34-33-109(71, an applicant must submit: (1) all information as specified on this application <br />form; (2) a copy of the newspaper nonce; (3) evidence that a liability insurance policy will be <br />provided for the proposed period of renewal; and 14) five reproducible copies of the permit <br />renewal application with original signatures. At the completion of this process, the federal <br />operation is responsible for providing one copy of the final revised pages to each of the <br />agencies noted on the Federal Agencies Mailing List. For non-federal mines, the operation is <br />responsible for providing one copy to the Office of Surface Mining, 505 Marquette Avenue NW, <br />Suite 1200, Albuquerque, New Mexico 87102. <br />GENERAL OPERATION INFORMATION <br />Type or print clearly the appropriate information as listed below. Supplemental sheets may be <br />used as necessary. Such sheets must be attached to the form and referenced or keyed to the <br />numbers on the form. - „ _ <br />c- <br />1. Permittee: EASTSIDE COAL COMPANY, INC. °~Uill ` <br />2. Name of Operation: EASTSIDE MINE '~'•~, . <br />3. Permit Number (same as current permit number): C - ~ 4 - 0 6 3 <br />4. Type of Revision: R N Renewal Number: 0 2 <br />5. Application Submittal Date: 0 6/ 3 G/ 9 4 <br />